高血压脑出血超早期小骨窗开颅血肿清除治疗的临床研究

Clinical study of the therapy of hypertensive cerebral hemorrhage by means of clearing hematoma in small bone window craniotomy operation in super-early stage

目的研究高血压脑出血手术清除血肿的时机及方法。方法对比研究高血压脑出血超早期小骨窗开颅血肿清除治疗与超早期常规开颅及非超早期血肿清除各 40例的颅内压 (ICP)及GCS评分的差异有无显著性。结果超早期小骨窗开颅血肿清除组 (Ⅰ组 )与超早期常规开颅血肿清除组 (Ⅱ组 )术后ICP无显著性差异 (P >0 .0 5 )。超早期小骨窗开颅血肿清除组 (Ⅲ组 )与延期血肿清除组术后GCS评分有显著性差异 (P <0 .0 1)。结论超早期血肿清除骨窗大小并不是影响颅内压的主要措施 。

Objective To study the occasion and method to clear hematoma for hypertensive cerebral hemorrhage.Methods intracranial pressure(ICP) and GCS scoring were compared in each 40 patients with hypertensive cerebral hemorrhage by clearing hematoma in small bone window craniotomy in super early stage(group one),in routine craniotomy in super early stage(group two) and by clearing hematoma in non super early stage(group three).Results There was no significant difference in ICP between group one and group two(P>0.05) and there was significant difference in GCS between group one and group three(P<0.01).Conclusion The area of bone window in super early stage is not the main factor to influence the intracranial pressure.Early clearing of hematoma can obviously improve the living quality of the patients.